How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,000 to $22,387Professionalmedian $912 · 10th to 90th $135 to $2,188
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,621.81 Median $12,302.69 Typical High $25,118.86 | Facility | None | $1,621.81 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $851.14 Median $15,848.93 Typical High $33,884.42 | Facility | None | $851.14 | $15,848.93 | $33,884.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $10,000.00 | Professional | None | $1,737.80 | $2,570.40 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,248.07 Typical High $9,332.54 | Facility | None | $741.31 | $5,248.07 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,513.56 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $3,311.31 Typical High $7,413.10 | Professional | None | $1,445.44 | $3,311.31 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $794.33 Typical High $2,089.30 | Professional | None | $128.82 | $794.33 | $2,089.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $2,570.40 | Facility | None | $1,819.70 | $2,238.72 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Facility | None | $1,698.24 | $1,698.24 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $32,359.37 | Facility | None | $11,481.54 | $16,982.44 | $32,359.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,737.80 | $1,737.80 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $22,908.68 | Facility | None | $2,089.30 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,445.44 | $1,819.70 | $3,548.13 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,548.82 | $2,344.23 |
7 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $25,703.96 Typical High $48,977.88 | Facility | 50 · Both sides | $16,982.44 | $25,703.96 | $48,977.88 |
Where Washington sits
The same service costs 17.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 49th of 51
$933
AK $5,129TX $288
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.